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2018-2022年广西壮族自治区柳州市新报告HIV/AIDS流行特征分析

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目的 分析2018-2022年广西壮族自治区(广西)柳州市新报告艾滋病疫情流行特征,为制定艾滋病防控策略提供参考依据.方法 采用描述性流行病学方法对2018-2022年柳州市新报告的艾滋病病毒感染者/艾滋病患者(HIV/AIDS)流行特征进行分析.结果 新报告HIV/AIDS病例5 552例,年均晚发现比例为52.20%,晚发现比例呈下降趋势,从2018年的53.31%下降至2022年的47.38%(x2趋势=16.272,P<0.05).新报告病例中3 564例分布在以农村人口为主的县,占64.19%;男性3 941例,占70.98%;≥45岁4 099例,占73.83%,≥55岁构成比呈上升趋势(x2趋势=29.746,P<0.05);职业以农民、家政/家务/待业者为主,分别占60.88%(3 380例)、20.84%(1 157例);小学及以下学历2 903例,占52.29%,初中1 803例,占32.47%.异性性传播占93.34%(5 182/5 552),学生以同性性传播为主,占65.79%(50/76);≥35岁中男性病例非婚商业接触感染占55.25%(1 805/3 267),女性病例非婚非商业性接触感染占66.73%(1 059/1 587).病例主要来源于其他就诊者检测2 608例,占46.97%;术前检测994例,占17.90%,咨询检测948例,占17.07%.结论 柳州市HIV/AIDS晚发现比例较高,以性传播途径为主,今后柳州市艾滋病防治应重点关注男性、≥45岁、农民、家政/家务/待业等人群,落实艾滋病扩大检测工作,促进早检测、早发现、早治疗.
Epidemiological characteristics of newly-reported HIV/AIDS cases in Liuzhou City,Guangxi Zhuang Autonomous Region,2018-2022
Objective To analyze the epidemiological characteristics of the newly-reported HIV/AIDS cases in Liuzhou City,Guangxi Zhuang Autonomous Region(Guangxi)from 2018 to 2022,so as to provide a basis for developing of HIV/AIDS prevention and control strategies.Methods Descriptive statistical methods were empployed to analyze the epidemiological characteristics of the newly reported HIV/AIDS cases in Liuzhou from 2018 to 2022.Results A total of 5 552 HIV/AIDS cases were reported,with an average annual late detection rate of 52.20%,decreasing from 53.31%to 47.38%annually(x2trend=16.272,P<0.05).The majority of cases were in rural areas(3 564 cases,64.19%)and involved males(4 099 cases,70.98%).There were 4 099 cases in the age group of ≥45 years,accounted for 73.83%,with an increasing trend observed in the ≥55 years age group(x2trend=29.746,P<0.05).The most common occupations were farmers(3 380 cases,60.88%),domestic/household workers/unemployed(1 157 cases,20.84%).Over half of the cases had primary school education or less(2 903 cases,52.29%),and 1 803 cases had junior high school education(32.47%).Heterosexual transmission was the primary route of transmission(93.34%)(5 182/5 552).Among the student cases homosexual transmission was the primary route of transmission(65.79%)(50/76).In male cases aged ≥35 years,55.25%(1 805/3 267)were infected through non-marital commercial sexual contact,while in female cases,66.73%(1 059/1 587)were infected through non-commercial sexual contact.Case identification primarily occurred through patient-initiated testing(46.97%,2 608 cases),preoperative testing(17.90%,994 cases)and testing consultation(17.07%,948 cases).Conclusions In Liuzhou,a high proportion of HIV/AIDS cases are detected late,with sexual transmission as the main route.Future prevention and control efforts should focus on men,those aged ≥45 years,farmers,and domestic/household workers/unemployed.Expanded HIV testing is reommanded to promote early testing,detection and treatment.

HIV/AIDSEpidemiological characteristicsPrevention and control strategy

孔继连、韦陶、谭寿南

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柳州市柳东新区疾病预防控制中心,广西柳州 545000

柳州市疾病预防控制中心

HIV/AIDS 流行特征 防控策略

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(8)
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